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Medical Tests AAPC-CPC Free Demo

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Medical Tests American Academy of Professional Coders: Certified Professional Coder Sample Questions (Q125-Q130):

NEW QUESTION # 125
Which is NOT a violation of Health Insurance Portability and Accountability Act (HIPAA)?

A. An office does not perform a risk assessment of electronic health information.
B. An encrypted laptop is stolen from a physician,s vehicle.
C. An employee drops off patient records on a physician,s porch.
D. A hospital with a multilayered cybersecurity defense experiences a data breach by acybercriminal.

Answer: D

Explanation:
HIPAA is in place to reduce the level of risk associated with a potential violation and/or breach. In answer C, even though a breach has occurred, the hospital has appropriate preventative measures in place and is not in violation of HIPAA. Leaving a laptop in an unattended vehicle or medical records outside is high-risk behavior that gives opportunity for an unauthorized person to access protected health information (PHI) and/or electronic protected health. In answer D, a medical practice is required to perform a risk analysis to PHI and/or ePHI and recti$ any failures within a timely manner.

NEW QUESTION # 126
What is NOT a function of the kidneys?

A. Filter blood
B. Remove waste
C. Regulate blood pressure
D. Propel urine

Answer: D

Explanation:
The role ofthe kidneys is to filter blood before it is transported back to the heart, remove waste materials from food and medication, and regulate blood pressure by excreting excess sodium.
The ureters propel urine from the kidneys into the bladder.

NEW QUESTION # 127
A 45-year-old female patient with urinary incontinence is treated by means of a Burch procedure. The patient is morbidly obese. What CPT and ICD-IO-CM codes should be reported by the surgeon?

A. 51840, R32, E66.8
B. 51841, R32, E66.8
C. 51841, R32
D. 51840, R32

Answer: B

Explanation:
When choosing betvteen CPT 51840 and 51841, consider that obesity reduces the operative field, increases surgical time, and poses difficulties in surgical technique. It is therefore considered one of several complicating factors to this surgery because it has an abdominal approach.
Additionally, although the obesity is not the reason for the surgical encounter, it nevertheless should be coded due to the impact it has on the procedure.

NEW QUESTION # 128
A male patient with cancerous cells in his right bronchus is given 150 mg of porfimer sodium via a single and slow intravenous injection and told to return to the office in 3 days.
Upon his return, the physician enters the right bronchus by means of a bronchoscope and activates LED for a total of 38 minutes to destroy the cancer cells. What should the physician report?

A. 31641, 96570, 96571, 96409,J9600x2
B. 31641, 96570, 96571, J9600x2
C. 96573, 96409, J9600x2
D. 96573, J9600x2

Answer: B

Explanation:
Photodynamic therapy applies a photosensitizing agent by either an external or endoscopic application. An external application is applied directly onto a patient's lesions, whereas an endoscopic application is an injection into the bloodstream, where it is absorbed by cells all over the body. Based on this differentiation, the documentation supports only an endoscopic application.
The code notes for CPT 96570 and 96571 indicate they are add-on codes to the bronchoscopy procedure, which is represented by CPT 31641. Any drug administration is inclusive to photodynamic therapy, making CPT 96409 not separately billable.

NEW QUESTION # 129
In which scenario would the modifier 53 be appended?

A. An IUD removal is not completed because the patient reports severe pain when thespeculum is inserted.
B. A patient receives an x-ray of one femur when the doctor ordered bilateral views.
C. The surgeon decides to terminate a routine colonoscopy when the patient becomeshypertensive before receiving anesthesia in the outpatient procedure room.
D. A surgeon decides to stop a gallbladder removal procedure in the hospital operating roomafter the patient has extensive bleeding at the incision site.

Answer: D

Explanation:
Modifier 53 is used to indicate that a procedure was terminated by the provider after anesthesia was given due to extenuating circumstances that affected the health of the patient.
Although option B is similar, the procedure that was discontinued was done so prior to anesthesia in the outpatient setting, in which case modifier 73 would be appended.

NEW QUESTION # 130
......

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